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5/17/2013 2:11 PM
  

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Hillbrow, Johannesburg: Imagine getting accurate, reliable information on everything from breastfeeding to eating well in pregnancy and when to visit the clinic, directly on your cell phone?
 
This is the power of health that the Mobile Alliance for Maternal Action (MAMA) is putting in the hands of expectant and new mothers with the launch of MAMA in South Africa.
 
The launch of MAMA is especially potent in a country where the maternal mortality ratio (MMR) is estimated at 300 per 100 000 live births (2010 figures, CIA World Fact Book) and at a time when 3.1 million newborn deaths occur every year across the globe.
 
But with 1 billion women in the developing world now owning a mobile phone, putting the power of health in the hands of pregnant and new mothers can directly assist in reducing South Africa’s MMR from the 300 per 100 000 live births baseline to 270 by 2014 (as set out by the Department of Health’s Strategic Plan For Maternal, Newborn, Child and Women’s Health and Nutrition in South Africa).
 
South Africa now joins Bangladesh in the implementation of MAMA’s innovative maternal, newborn, and child health solution that delivers culturally sensitive, vital health information through mobile phones to mothers living in poverty.
 
The widespread use and availability of mobile phones provides MAMA with a powerful channel to support and educate mothers, providing them with life-saving information through an intimate medium. The latter is particularly important in a country where 30% of pregnant mothers are HIV-positive (with many learning of their diagnosis for the first time when they are tested antenatally) and 40% of maternal deaths are related to HIV/AIDS. 
 
Among those attending MAMA South Africa’s national launch at the Wits Reproductive Health and HIV Institute (WRHI) in Hillbrow, Johannesburg, was MAMA Global Director, Kirsten Gagnaire – whose extensive experience in Africa includes her previous role as Ghana Country Director for the Grameen Foundation.
 
“The national launch of MAMA South Africa and the partnership with the Vodacom Foundation is a significant step for more moms living in poverty, many of whom are living with HIV, to access culturally sensitive, vital health messages to improve their lives and the lives of their babies,” Gagnaire says.
 
“Every mother should have access to health information delivered in a timely, accessible manner. Through innovative public/private partnerships like this, we have the opportunity to put the power of health in every mama’s hand.”
 
Launched in 2011 in the USA, MAMA is a partnership of USAID, Johnson & Johnson, United Nations Foundation, mHealth Alliance and BabyCenter. South African partners in MAMA’s national rollout are Praekelt Foundation, Cell-Life, WRHI and Vodacom Foundation.
 
In a contribution valued at R480 000, a total of 6000 Vodacom subscribers accessing the newly built Shandukani maternal health centre in Hillbrow, where Vodacom is a founding sponsor, are now able to also access critical maternal health information via SMS. These SMSs will provide the expectant mothers with a full set of 174 MAMA SMSs that will be based on the woman’s gestational stages. The SMS will run from the day of the opt-in until the baby is one year old.  
 
The partnership with the Vodacom Foundation includes the hosting of MAMA South Africa’s mobile service on Vodacom’s Vodafone Live, reaching over 30.6 million Vodacom customers. Partnering with MAMA SA supports Vodacom’s belief that its mobile communication technology can help address some of the country’s most pressing humanitarian challenges in the areas of education, health and security.
 
“The use of mobile technology in the MAMA project will make health awareness accessible to all women, regardless of their geographical location,” comments Vodacom’s Chief Officer: Corporate Affairs, Maya Makanjee. “Furthermore, most maternal  and child mortality incidents are preventable, and awareness through the use of mobile technology will play a key role in addressing these incidents.” 
 
“MAMA SA’s goal is to take the project to scale and reach 500 000 mothers in South Africa in two years,” explains Gustav Praekelt of Praekelt Foundation, MAMA’s technology partner which builds open source, scalable mobile technologies and solutions to improve the health and wellbeing of people living in poverty.
 
At the launch, Praekelt demonstrated how MAMA works on a mobile phone, referencing the fact that its test phase has already seen 2224 registered users from clinics receive over 82 000 SMSes with close to 15 000 unique users accessing the mobi site.
 
Currently MAMA South Africa consists of an SMS programme offered through two clinics in Hillbrow, Johannesburg, a dynamic community portal (askmama.mobi) and a USSD-based interactive quiz service. MAMA South Africa aims to expand to include voice services for mothers with low literacy, and a portal on MXit – a popular mobile social network. The national rollout is expected to be enhanced by additional partners assisting in taking MAMA SA to scale and an awareness campaign, driven through the mobile networks, the media and clinics. 
 
“Not all mamas, old and new, know how to take care of their babies or how to take care of themselves when they are pregnant or when they are about to deliver,” says registered MAMA user, Ntando Khumalo, who is expecting a baby.
 
Adds another user, Letty Mafu, “There is a big need for information. I don’t want anything to happen to my unborn baby. I like to know everything.”
 
“I joined when I was pregnant,” says 23-year-old Paneshe Chipikiri, mother to a three-month-old baby. “They (MAMA) taught me what to put in my bag and the danger signs to rush to the hospital so I didn’t have any problems with my delivery.”
 
The Wits Reproductive Health and HIV Institute is a key partner in MAMA SA’s rollout – which has, among its aims, the improved health outcomes and reduced mortality for HIV-infected women and their children. WRHI’s contribution also includes funding an additional 6000 non-Vodacom subscribers at both the Shandukani Maternal & Child Health Centre and the Esselen Street Clinic.
 
WRHI’s Dr Eugene Sickle, Deputy Executive Director: Strategy & Development and Dr Vivian Black, Director: Clinical Programmes both attended the launch.
 
“As an Institute we are committed to improving the health of all South Africans. We are specialists in reproductive health so we are particularly committed to ensuring good health care for mothers and their infants. We are delighted to be partners in this important initiative to improve South Africa’s maternal and child health outcomes,” said Dr Black.
 
The launch of MAMA South Africa aims to speed up the country’s progress in reaching Millennium Development Goal 4 (reducing mortality of children under 5 years of age by two thirds, between 1990 and 2015), and Goal 5 (reducing maternal mortality by three quarters, between 1990 and 2015).
 
Already, MAMA SA’s impact is being felt by the mamas who need it most. As user Sibongile Sabanda puts it, “It (MAMA’s SMS service) makes me a better mother because now I learn I must talk to her (my baby) and sing to her sometimes so she’s happy.”

About MAMA
 
The Mobile Alliance for Maternal Action (MAMA) is an innovative public/private partnership between the U.S. Agency for International Development (USAID), Johnson & Johnson, the United Nations Foundation (UN Foundation), the mHealth Alliance and BabyCenter.  MAMA engages an innovative global community to deliver vital health information to new and expectant mothers through mobile phones. MAMA began as a multi-million dollar investment to create and strengthen programmes in three countries – Bangladesh, India and South Africa – and to enhance global capability of new and existing mobile health information programmes for moms in those countries and beyond.  
 
About Praekelt Foundation
 
The Praekelt Foundation is a technology incubator that develops mobile technology solutions for social good. The organisation is a not-for-profit entity that develops innovative, open source mobile solutions offering life-saving information and services to people in Africa and other emerging markets.
 
About WRHI
 
The Wits Reproductive Health and HIV Institute is one of the largest research Institutes of the University of the Witwatersrand. Established in 1994 as the Reproductive Health Research Unit (RHRU) under the leadership of Professor Helen Rees, OBE, the Institute was formed on 1 October 2010 through a merger with Enhancing Children’s HIV Outcomes (ECHO) and has evolved into one of the largest programme implementation, research and training units of its kind in sub-Saharan Africa. The Institute works with Government at a national and provincial level and has offices in Johannesburg, Klerksdorp, Vryburg, Mafikeng and Emgwenya (formerly Waterval Boven, Mpumalanga). Key research sites include Yeoville, Hillbrow and Emgwenya.
 
About Cell Life
 
Cell-Life is a non-profit organisation that provides technology-based solutions for the management of health in developing countries. It aims to address health-related challenges, such as distribution of antiretroviral treatments, continuous patient monitoring and evaluation, and collection and communication of information. This is achieved through the use and development of innovative software supported by existing technologies such as mobile phones and the Internet, in a manner that is appropriate for a developing country context.
 
 
Speaker profiles:
 
Kirsten Gagnaire is the Global Director of the Mobile Alliance for Maternal Action (MAMA), a partnership between USAID, Johnson & Johnson, United Nations Foundation, mHealth Alliance and BabyCenter. Prior to MAMA, Gagnaire was the Ghana Country Director for the Grameen Foundation and led the initial implementation of MOTECH.  She was the Founder of the Social Enterprise Group (SEG) and Sustayne, and has a depth of experience and passion for addressing social and environmental issues through profitable business ventures. Gagnaire was a consultant with KPMG Peat Marwick, specialising in management, technology, and organisational development consulting for health and human service agencies.
 
Dr. Eugene Sickle has a doctoral degree in Synthetic Organic Chemistry from the University of Cape Town and considerable post-doctoral experience in the area of Medicinal Chemistry. After several years in academia he moved to the WRHI to lead the Institute’s USAID-PEPFAR programme and to head the Strategy and Development Department. Dr Sickle is an expert in strategic financial and programme management.
 
Dr Vivian Black, Director of Clinical Programmes, is responsible for leading the clinical technical teams in providing technical support to the organisation and to the Department of Health and Social Development. Dr Black joined WRHI in March 2003 and worked in HIV prevention. She has been involved in initiating an integrated antenatal antiretroviral clinic at Charlotte Maxeke Johannesburg Academic Hospital and in the development of the Institute’s maternal health team. Prior to joining WRHI Dr Black worked in internal medicine and microbiology. Dr Black is a member of the South African National AIDS Council, where she is the Civil Society Chair of the Treatment Care and Support Technical Team.
 
Gustav Praekelt is the founder of Praekelt Foundation, which was established in early 2007 in response to the opportunities created by the rapid and unprecedented spread of mobile phones across Africa. Gustav, a digital entrepreneur and obsessive technologist, saw how many of the mobile technologies his consultancy developed could be used to give communities access to services and information which had previously been inaccessible. His belief in the power of mobile phones to transform Africa and the idea that technology should be available to all inspired him to establish the foundation.
 
MEDIA CONTACT:
 
Samantha Manclark
011 327 1540
082 556 5188

 

 
 

 

5/15/2013 8:42 AM
  

 

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Professor Helen Rees leads African Scientists in signing Global Declaration to End Polio
Experts from 80 countries cite time-limited opportunity, endorse comprehensive new eradication strategy.
 
Professor Helen Rees, Executive Director of WRHI, joined hundreds of scientists, doctors and other experts from around the world to launch the
Scientific Declaration on Polio Eradication, declaring that an end to the paralysing disease is achievable and endorsing a comprehensive new strategy to secure a lasting polio-free world by 2018. The declaration’s launch coincides with the 58th anniversary of the announcement of Jonas Salk’s revolutionary vaccine.
 
More than 400 signatories to the declaration urged governments, international organisations and civil society to do their part to seize the historic opportunity to end polio and protect the world's most vulnerable children and future generations from this debilitating but preventable disease. The declaration calls for full funding and implementation of the Polio Eradication and Endgame Strategic Plan 2013-2018, developed by the Global Polio Eradication Initiative (GPEI). With polio cases at an all-time low and the disease remaining endemic in just three countries, the GPEI estimates that ending the disease entirely by 2018 can be achieved for a cost of approximately $5.5 billion.
 
"We have the tools we need and a time-limited opening to defeat polio. The GPEI plan is the comprehensive roadmap that, if followed, will get us there," said Dr. Walter Orenstein, professor and associate director of the Emory Vaccine Center at Emory University and former director of the U.S. Centers for Disease Control and Prevention’s National Immunisation Programme. Dr. Orenstein is one of the scientists spearheading the declaration and among the signatories who were on the frontlines of ending smallpox, the only human disease to be successfully eradicated.
 
The declaration – housed online by Emory University at vaccines.emory.edu/poliodeclaration/ – notes that polio vaccines have already protected hundreds of millions of children from the disease and eliminated one of the three types of wild poliovirus, proving that eradication is scientifically feasible. It calls on the international community to meet the goals in the GPEI plan for delivering polio vaccines to more children at risk, particularly in Afghanistan, Nigeria and Pakistan, where polio remains endemic and emergency action plans launched over the past year have resulted in significant improvements in vaccine coverage.
 
"Securing a lasting polio-free world goes hand in hand with strengthening routine immunisation. We need all countries to prioritise investments in routine immunisation," said Dr. Zulfiqar Bhutta, founding director of the Center of Excellence in Women and Child Health at Aga Khan University. Dr. Bhutta, one of the declaration’s leaders, is a member of the Strategic Advisory Group of Experts (SAGE) on Immunisation, a technical advisory body to the GPEI.
 
The declaration emphasises that achieving polio eradication requires efforts interrelated with strengthening routine immunisation, a new focus of the GPEI plan. As the last cases of polio are contained, high levels of routine immunisation will be critical. At the same time, resources and learning from polio eradication efforts can be used to strengthen coverage of other life-saving vaccines, including for children who have never been reached with any health interventions before.  
 
The scientists and experts signing the declaration called on the international community to take steps outlined in the GPEI plan to address challenges that have posed obstacles to polio eradication in the past, including improving immunisation campaign quality to reach missed children and eliminating rare polio cases originated by the oral polio vaccine. While previous polio efforts have sought to interrupt wild virus transmission and then address vaccine-derived virus, the new GPEI plan addresses both simultaneously with a timetable to phase out use of oral polio vaccines and introduce inactivated polio vaccines. The declaration urges vaccine manufacturers to provide an affordable supply of the different vaccines required for eradication, and calls on scientists to continue researching new and better tools.
 
"As long as it exists anywhere in the world, polio threatens children everywhere," said Professor Helen Rees, Executive Director of the Wits Reproductive Health and HIV Institute at the University of the Witwatersrand, who signed the declaration and chairs SAGE. "By pursuing in parallel all of the steps needed to reach eradication, including the introduction of inactivated vaccines, countries have a complete path to eliminate polio’s threat." In November 2012, SAGE recommended the introduction of at least one dose of inactivated polio vaccine into all routine immunisation programs prior to the phase-out of oral polio vaccines.
 
In light of recent attacks on health workers in some endemic countries, the declaration stresses the need to protect polio vaccination teams as they do their work. The GPEI plan includes a series of risk-mitigation strategies for insecure areas, including deepening engagement with community and religious leaders.
 
The scientists and experts signing the declaration hail from 80 countries and include Nobel laureates, vaccine and infectious disease experts, public health school deans, paediatricians and other health authorities. More than 40 leading universities and schools of public health and medicine are promoting the declaration on their websites, including the University of the Witwatersrand, Aga Khan University, the Harvard School of Public Health, the London School of Hygiene & Tropical Medicine, Al Azhar University (Egypt), University of Cape Town, Redeemer's University (Nigeria) and Christian Medical College Vellore (India).
 
The declaration notes that the world has a unique window of opportunity to eradicate polio. Only 223 new cases due to wild poliovirus were recorded in 2012, an historic low and a more than 99% decrease from the estimated 350,000 cases in 1988. Just 16 new cases have been reported so far in 2013 (as of 9 April). India, long-regarded as the most difficult place to eliminate polio, has not recorded a case in more than two years.
 
"Eradicating polio is no longer a question of technical or scientific feasibility. Rather, getting the most effective vaccines to children at risk requires stronger political and societal commitment," said Dr. David Heymann, head and senior fellow at the Chatham House Centre on Global Health Security and a signatory of the declaration. "Eliminating the last one percent of polio cases is an immense challenge, as is the eradication endgame after that. But by working together we can make history and leave the legacy of a polio-free world for future generations."
 
For additional information about the Scientific Declaration or to view a full list of signatories, please visit the Emory Vaccine Center Website. The Polio Eradication and Endgame Strategic Plan 2013-2018 is available online from the Global Polio Eradication Initiative. The plan will be publicly shared with the immunization community at the Global Vaccine Summit taking place 24-25 April 2013 in Abu Dhabi.
 
For additional information about WRHI or Professor Helen Rees, please contact
 
Ellen Crabtree,
External Relations Manager
011 358 5397
ecrabtree@wrhi.ac.za
 
 
 
 
 
7/13/2012 1:29 PM
  

Most people over 40 in Johannesburg remember the Hillbrow Hospital. The site is still home to some of Joburg’s most architecturally significant buildings. And now one of them has been turned into a state-of-the-art maternal and child health facility, thanks to the generosity of Vodacom, Altron and Altech, working in partnership with the Wits Reproductive Health & HIV Institute.


Shandukani is a Venda word meaning ‘change’, and the Shandukani Maternal & Child Health Centre will indeed change lives in the inner city. Here women and children will receive health care that addresses all their needs around pre- and post-natal care; HIV testing, care and support; TB; and related diseases. Shandukani has been open for two weeks and the first baby to be born in the facility entered the world at 15h45 on 18th June – a little boy.

 

Shandukani is a flagship public/private partnership that paves the way for future innovations to benefit communities. It is also an outstanding example of conservation of the city’s architectural heritage, which has been recognised in this year’s Colosseum Award for Conserving Joburg, announced last night at the Halala Awards ceremony.

 


We are proud to hand this award-winning facility over to the Gauteng Department of Health at an official function on Friday, 13th July. The National Minister of Health, Dr Aaron Motsoaledi, will give an address. Ms Kerishnie Naiker will preside over the ceremonies.

Media are invited to attend the handover to hear more about this remarkable project.

 
Ends.


For more information contact

Programme Manager, External Relations
Ellen Crabtree
011 358 5397
ecrabtree@whri.ac.za

Notes to Editors:

Shandukani is a public/private partnership project that represents support for the inner city community, community clinics and health programmes, and HIV and related disease support in an integrated manner. The Gauteng Health Department is the recipient of a world class medical and research facility made possible by the generous R28m CSI grant from the Vodacom, Altron and Altech companies.
The project epitomises the objectives of the Hillbrow Health Precinct that seeks to create a visionary, world-first health precinct not only addressing HIV/AIDS and TB but also poverty; and urban renewal in Johannesburg’s inner city. The Shandukani facility acts as a ‘tipping point’ for further regeneration opportunities in the Hillbrow Health Precinct as it becomes a catalyst on which to lever further investment and interest.

5/15/2013 8:37 AM
  



 Shandukani is a Venda word meaning ‘change’. And the Shandukani Maternal & Child Health Centre is changing the way we think about conservation and urban development. The former Van Niekerk operating theatre (built in 1927) on the grounds of the old Hillbrow Hospital has been transformed into a state-of-the-art facility for maternal and child health care. 
Shandukani is a flagship public/private partnership between the Wits Reproductive Health & HIV Institute (WRHI) and Vodacom, Altron and Altech that paves the way for future innovation in community regeneration. The preservation of one of the city’s important architectural assets combined with the recycling of function and form to create a contemporary clinic has won Shandukani this year’s Colosseum Award for Conserving Joburg, announced last night at the Halala Awards ceremony.
The award is given for exemplary work in conservation of heritage buildings in the inner city. The project must fulfil renovation criteria as set out in national and provincial heritage policies. The Colosseum Award came about in 1982 during the struggle to save the Colosseum building from demolition. It has become a key feature of the Halala Joburg Awards, which aim to encourage efforts to build sustainable and inclusive renewal projects that recognise roles and relationships between the private and public sectors.
With significant heritage value and historical importance, it was imperative that the building’s architectural integrity be preserved whilst incorporating modern clinical functionality. A professional team, led by specialist conservation architects, Henry Paine and Partners and represented by Kylie Richards, worked tirelessly to make this vision a reality. Henry Paine described the work as one of his “favourite projects ever”. “It offers everything,” he said, “…social benefits to the community, history and heritage, and interesting construction.” The Provincial Heritage Resources Authority Gauteng
 (PHRAG) was on hand to make sure all alterations were done sensitively and in harmony with the surroundings.
The WRHI, whose work encompasses research, training and health systems strengthening in the field of reproductive health, HIV and related diseases, was the developer for this visionary collaboration, for the ultimate benefit of the Gauteng Department of Health and the inhabitants of the inner city. The floating trophy, designed by Cecil Skotnes, will reside at the WRHI for one year. The Institute will also receive a permanent award and a signed Cecil Skotnes print.
The professional team:
Architect: Henry Paine + Partners
Structural Engineer: Bapedi Consulting Engineers
Quantity Surveyor: Bham Tayob Khan Matunda
Project Manager: PM Africa Project Management
Electrical Engineers: Nala Consulting Engineers
Main Contractor: GVK-Siya Zama Building Contractors (Gauteng) (Pty) Ltd.
Ends.
For more information contact:
Programme Manager, Hillbrow Health Precinct
Yael Horowitz
083 706 9996
Programme Manager, External Relations
Ellen Crabtree
011 358 5397      
Notes to Editors: 
Shandukani is a public/private partnership project that represents support for the inner city community, community clinics and health programmes, and HIV and related disease support in an integrated manner. The Gauteng Department of Health is the recipient of a world class medical and research facility made possible by the generous R28m CSI grant from the Vodacom, Altron and Altech companies. 
The project epitomises the objectives of the Hillbrow Health Precinct that seeks to create a visionary, world-first health precinct not only addressing HIV/AIDS and TB but also poverty; and urban renewal in Johannesburg’s inner city. The Shandukani facility acts as a ‘tipping point’ for further regeneration opportunities in the Hillbrow Health Precinct as it becomes a catalyst on which to lever further investment and interest.
The building was originally designed by Gordon Leith, a Joburg architect who left a legacy of wonderful homes, hospitals, office buildings, residential blocks and banks across the Witwatersrand and as far afield as Cape Town and Bloemfontein.

 

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